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1194378299
MATTHEW ALAN WERTH
SAN DIEGO, CA
NPI
1194378299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
MATTHEW ALAN WERTH
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 757-582-3904
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Mailing Address
MATTHEW ALAN WERTH
2827 BELKNAP WAY
SAN DIEGO, CA 92106-6404
Phone number: 757-582-3904
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